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1205322831
NICHOLAS BOYD JORGENSEN
PORTLAND, OR
NPI
1205322831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-07-06
Last Update Date
2018-09-05
Business Address
NICHOLAS BOYD JORGENSEN MD
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239-3009
Phone number: 503-221-3424
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Mailing Address
NICHOLAS BOYD JORGENSEN MD
PO BOX 8500, LOCKBOX 7642 SHRINERS HOSPITALS FOR CHILDREN, PORTLAND
PHILADELPHIA, PA 19178-7642
Phone number: 813-281-8115
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